The combination of 5-fluorouracil plus p53 pathway restoration is associated with depletion of p53-deficient or mutant p53-expressing putative colon cancer stem cells

Cancer Biol Ther. 2009 Nov;8(22):2186-93. doi: 10.4161/cbt.8.22.10446. Epub 2009 Nov 27.

Abstract

The cancer stem cell hypothesis suggests that rare populations of tumor-initiating cells may be resistant to therapy, lead to tumor relapse and contribute to poor prognosis for cancer patients. We previously demonstrated the feasibility of p53 pathway restoration in p53-deficient tumor cell populations using small molecules including ellipticine or its derivatives. We now establish a single cell p53-regulated green fluorescent protein (EGFP)-reporter system in human DLD1 colon tumor cells expressing mutant p53 protein. We use these p53-EGFP reporter DLD1 cells to investigate the status of p53 transcriptional activity in putative colon cancer stem cell populations following exposure to p53 pathway-restoring drugs and/or classical chemotherapy. We demonstrate induction of p53-specific EGFP reporter fluorescence following overexpression of p53 family member p73 by an Adenovirus vector. We further show that p53-reporter activity is induced in DLD1 putative cancer stem cell side-populations analyzed by their Hoechst dye efflux properties following treatment with the p53 pathway restoring drug ellipticine. Combination of ellipticine with the cytotoxic agent 5-fluorouracil resulted in increased cytotoxicity as compared to either agent alone and this was associated with depletion of putative cancer stem cell populations as compared with 5-FU alone treatment. Our results support the feasibility of therapeutic targeting of mutant p53 in putative cancer stem cells as well as the potential to enhance cytotoxic chemotherapy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / pathology*
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / pharmacology*
  • Colonic Neoplasms / pathology*
  • DNA-Binding Proteins / physiology
  • Drug Synergism
  • Ellipticines / administration & dosage
  • Ellipticines / pharmacology*
  • Fluorouracil / administration & dosage
  • Fluorouracil / pharmacology*
  • Genes, Reporter
  • Genes, Synthetic
  • Genes, p53*
  • Genetic Vectors / pharmacology
  • Humans
  • Mutation
  • Neoplasm Proteins / biosynthesis
  • Neoplasm Proteins / genetics
  • Neoplasm Proteins / physiology*
  • Neoplastic Stem Cells / drug effects*
  • Neoplastic Stem Cells / metabolism
  • Nuclear Proteins / physiology
  • Pyrimidines / pharmacology
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / biosynthesis
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / genetics
  • Recombinant Fusion Proteins / physiology
  • Tumor Protein p73
  • Tumor Suppressor Protein p53 / deficiency
  • Tumor Suppressor Protein p53 / physiology
  • Tumor Suppressor Proteins / physiology

Substances

  • Antineoplastic Agents
  • DNA-Binding Proteins
  • Ellipticines
  • Neoplasm Proteins
  • Nuclear Proteins
  • Pyrimidines
  • Receptors, TNF-Related Apoptosis-Inducing Ligand
  • Recombinant Fusion Proteins
  • TP73 protein, human
  • Tumor Protein p73
  • Tumor Suppressor Protein p53
  • Tumor Suppressor Proteins
  • ellipticine
  • CP 31398
  • Fluorouracil